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TPIAT primarily aims to manage debilitating pain leading to impaired quality of life among patients with CP or RAP, which can be successfully managed with medical, endoscopic, or surgical interventions. TPIAT is significantly successful in relieving pain associated with CP and improving health\u2010related quality of life outcomes. Furthermore, the complete loss of pancreatic endocrine function attributed to total pancreatectomy (TP) can be compensated by autologous islet transplantation (IAT). Patients receiving IAT can achieve insulin independence or can be less dependent on exogenous insulin compared with those receiving TP alone. Historically, TPIAT has been mainly used in the United States, and its outcomes have been improving due to technological advancements. Despite some challenges, TPIAT can be a promising treatment for patients with CP\u2010related intractable pain. Thus far, TPIAT is not commonly performed in Japan. Nevertheless, it may improve health\u2010related quality of life in Japanese patients with CP, similar to Western patients. This review article aimed to provide an overview of the indications, related procedures, and outcomes of TPIAT and to discuss future prospects in Japan.<\/jats:p>","DOI":"10.1002\/ags3.12767","type":"journal-article","created":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T00:04:26Z","timestamp":1703635466000},"page":"401-412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Current status of total pancreatectomy with islet autotransplantation for chronic and recurrent acute pancreatitis"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9543-0841","authenticated-orcid":false,"given":"Kei","family":"Yamane","sequence":"first","affiliation":[{"name":"Department of Surgery Graduate School of Medicine, Kyoto University  Kyoto 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